University of Groningen
Improving quality of maternal and perinatal care in rural Tanzania Mooij, Robert
DOI:
10.33612/diss.131176661
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Publication date: 2020
Link to publication in University of Groningen/UMCG research database
Citation for published version (APA):
Mooij, R. (2020). Improving quality of maternal and perinatal care in rural Tanzania: Safe Motherhood. University of Groningen. https://doi.org/10.33612/diss.131176661
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Propositions belonging to the PhD thesis:
Safe Motherhood: Improving the quality of maternal
and perinatal healthcare in a rural hospital in Tanzania
1. Results from research in high-income settings cannot automatically be translated to a rural hospital in a low-income country; in case of differences in patient characteristics, diagnostic possibilities and available treatment, local research is necessary. (this thesis) 2. In the case of eclampsia in a low-resource setting, vaginal birth is safe and induction of
labour should be started as soon as possible. (this thesis)
3. Antenatal corticosteroid therapy can be harmful in a low-resource hospital setting.
(this thesis)
4. Although ultrasound is more sensitive in early detection of a ruptured ectopic pregnancy, abdominal aspiration remains an option in selected patients. (this thesis)
5. Median skin incisions for caesarean sections have multiple disadvantages, including a
higher risk of post-operative adhesions and should be avoided. (this thesis)
6. The high risk of hypertension and mental health problems years after (pre-)eclampsia
warrants more attention for follow-up. (this thesis)
7. Male partners can play a pivotal role in support of women after severe acute maternal morbidity, and more effort needs to be put in involving them. (this thesis)
8. Medical doctors in global health in tropical medicine can contribute as much with research activities as with clinical tasks.
9. The majority of patients do not need subspecialty care; generalist specialists remain important to provide all-round care for many patients.
10. Don’t run from the work, feel the work (Shaun T.)
11. Tell us please, what treatment in an emergency is administered by ear?"....I met his gaze and I did not blink. "Words of comfort," I said to my father.” (Abraham Verghese – cutting for stone)
12. Challenge your preconceptions, or they will challenge you. (Vulcan proverb)
